Policy Updates Medical Policy & Clinical GuidelinesCommercialJune 30, 2023

Expansion of Carelon Medical Benefits Management, Inc. Cardiology program clinical appropriateness review for Pacemakers program (MAC)

Material Adverse Change (MAC)

* Carelon Medical Benefits Management, Inc. is an independent company providing utilization management services on behalf of the health plan. Availity, LLC is an independent company providing administrative support services on behalf of the health plan.

COBCBS-CM-027249-23-CPN27059

ATTACHMENTS: Expansion of Carelon Medical Benefits Management, Inc. Cardiology program clinical appropriateness review for Pacemakers program (pdf - 0.1mb)

PUBLICATIONS: July 2023 Provider Newsletter